MRS. MARY ELIZABETH PROUTY HORNE PA-C
NPI 1477509958
Physician Assistant in Charlotte, NC

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
87.4/100
CMS Quality Rating
10628 PARK RD, CHARLOTTE, NC 28210(704) 667-1111 Get Directions Write a Review

NPPES record last updated: July 9, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Mary Elizabeth Prouty Horne Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY ELIZABETH PROUTY HORNE PA-C (NPI 1477509958) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-00427) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1477509958
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MARY ELIZABETH PROUTY HORNECredential: PA-C
Location Address10628 PARK RDCharlotte, NC 28210-8407
Mailing Address3910 Doster RdMonroe, NC 28112-8663 · (704) 650-2401
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 9, 2013
NPI 1477509958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-00427
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0010-00427 (NC)
10628 PARK RD, Charlotte, NC 28210

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mary Elizabeth Prouty Horne Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143231290
PECOS Enrollment IDI20060606000047
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
905 services859 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.09
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
10628 PARK RD, CAROLINAS MEDICAL CENTER-PINEVILLE
CHARLOTTE, NC 28210
Emergency Medicine (Emergency Medical Services)
10628 PARK RD
CHARLOTTE, NC 28210
Nurse Anesthetist, Certified Registered
10628 PARK RD
CHARLOTTE, NC 28210
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477509958, enumerated as an "individual" on May 26, 2006.

The provider is located at 10628 PARK RD CHARLOTTE, NC 28210 and the phone number is (704) 667-1111.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.